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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000328

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen GertrudeWarren Sex Female

Date of Birth January 29, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Walter Weston Warren MAIDEN NAME of Mother Alice May Gillis

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born 257 Bentinck Street, Sydney, Cape Breton Co. Present address of Father 257 Bentinck Street, Sydney, Cape Breton Co.

Occupation of Father at Birth of child Clerk, Dominion Iron & Steel Company Place of birth of Father Island Cove, Newfoundland & Labrador

Race British Name and present address of Physician in attendance at birth Dr. Coperwaithe

Signature of Applicant Walter W. Warren Address of Applicant 257 Bentinck Street, Sydney, Cape Breton Co. Date 8 April 1960

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen GertrudeWarren

Born at Sydney in the County of Cape Breton

That Helen GertrudeWarren Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 29, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Helen Gertrude Warren was born at 257 Bentinck on January 29, 1920. Baptized March 7, 1920, Christ Church, Sydney. Certificate of Baptism enclosed herewith.

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